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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Fundal tone

Lochia

Transcutaneous bilirubin

Engorgement

Vital Signs

Bladder distension

Answer and Explanation

Correct Answer : A,B,E,F

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

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Correct Answer is C

Explanation

A. Hypoxemia is not directly associated with cephalohematoma.

B. Hypoglycemia is not a typical complication related to cephalohematoma.

C. A cephalohematoma can increase the risk of hyperbilirubinemia due to the breakdown of red blood cells in the hematoma, leading to increased bilirubin levels.

D. Hyperglycemia is not linked to cephalohematoma.

A. if positive at birth the patient should have a C-Section to prevent passing it on to the fetus. B. There is often a small sore on the penis or labia that can last up to two weeks C. Gonorrhea is treated with antifungal medication. D. Vaginal discharge will have a fishy odor. E. This is an STD responsible for ophthalmia neonatorum in babies so they are required to be treated with erythromycin. F. it can present as a yellow or greenish discharge from the penis

Correct Answer is ["E","F"]

Explanation

A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.

B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.

C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.

D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).

E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.

F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.

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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Correct Answer is C

Explanation

A patient comes to the clinic to be tested for Gonorrhea. Which of the following is true of this particular STD? Select all that apply

Correct Answer is ["E","F"]

Explanation

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